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SHANE BLACKMAN
NPI 1750943528
Behavior Technician in Woodbury, MN

Active since July 02, 2019
721 COMMERCE DR, WOODBURY, MN 55125(612) 767-7222 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Blackman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE BLACKMAN (NPI 1750943528) is an individual behavior technician in Woodbury, Minnesota and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1750943528
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameSHANE BLACKMAN
Location Address721 COMMERCE DRWoodbury, MN 55125-9118
Mailing Address721 Commerce DrWoodbury, MN 55125-9118 · (612) 767-7222
Phone(612) 767-7222
Sole ProprietorYes
Enumeration DateJuly 2, 2019
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1750943528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
721 COMMERCE DR, Woodbury, MN 55125
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NENE AISSATOU DIALLO
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
JUSTIN MUELLER
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
MARYKATHERINE F KOCOUREK
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
SABRINA L ANDERSEN
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
VICTORIA ANN TODD
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (612) 445-8326
SYDNEY BOYD
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
BRAI CHIA LOR
Behavior Technician
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (651) 424-4000
ALEXANDRA JEAN SCHUMACHER M.S. CCC-SLP
Speech-Language Pathologist
721 COMMERCE DR
WOODBURY, MN 55125
Washington County (612) 767-7222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Blackman's NPI number?

The NPI number for Shane Blackman is 1750943528. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Shane Blackman located?

Shane Blackman practices at 721 Commerce Dr, Woodbury, MN 55125. The listed phone number is (612) 767-7222.

What is Shane Blackman's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Shane Blackman was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.